Abstract

The aftermath of the HIV and AIDS pandemic has resulted in great suffering in terms of loss of income, poor quality of life, morbidity and mortality, with children being destitute and orphaned at an alarming rapid rate. Families and communities are currently unable to cope with the effects of HIV and AIDS with special emphasis on the care and support of the affected orphans and vulnerable children, who as a result have been compelled to look after themselves giving rise to a new type of family, the child-headed household. The emergence of this type of family requires government's response in terms of care and support. The purpose of this study was to provide a broad picture of the location, prevalence, composition, functions, needs and challenges of child-headed households in South Africa, and explore available and required services, resources and safety nets for children in child-headed households. An exploratory and descriptive design was used for the purpose. The sample consisted of children heading households and those living in the households that are headed by children; government departments responsible for child welfare, such as, the Departments of Social Development, Health, Education and Agriculture; non-profit organisations and communities where these households are predominant. From the data collected, it was found that the rights of the affected children were compromised. Those heading the households were often not at school and were responsible for domestic chores. The households needed food, clothes, money, shelter, and education. Government in attempting to address these needs required clear policies which will provide a distinction between orphaned and vulnerable children and child-headed households. The study recommended a collaborative approach as it was shown that there was no single model of best practice to appropriately and effectively address the needs of child-headed households.

Highlights

  • The increasing morbidity and mortality rates among adults as a result of the many complex challenges including the HIV and AIDS pandemic, other acute emergent infections such as multi-drug resistant TB, poverty, violence, crime, motor vehicle accidents and social maladies of migrant work have resulted in a growing number of orphans and vulnerable children (OVC) (India HIV/ AIDS Alliance 2006:2; Tsegaye 2007:4; UNAIDS 2008:12, 20)

  • According to Ayieko (1997:1) and Tsegaye (2007:2), the situation has resulted in the emergence of a new form of family structure; a household headed by one of the affected children called ‘a child-headed household’ (CHH)

  • National government departments of Social Development, Health, Education and Agriculture The general finding was that departments had policies that addressed the issues related to orphaned and vulnerable children

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Summary

Introduction

The increasing morbidity and mortality rates among adults as a result of the many complex challenges including the HIV and AIDS pandemic, other acute emergent infections such as multi-drug resistant TB, poverty, violence, crime, motor vehicle accidents and social maladies of migrant work have resulted in a growing number of orphans and vulnerable children (OVC) (India HIV/ AIDS Alliance 2006:2; Tsegaye 2007:4; UNAIDS 2008:12, 20). The phenomenon of child-headed households is complex and multi-faceted It impacts on the societal framework and has profound implications on the well being of children and the realisation of their rights. It disrupts family and community functioning and negatively affects the rearing and development of children (Motihar 2007:2). Often children may be left destitute and on their own, the child-headed households (India HIV/AIDS Alliance 2006:2)

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